Significance of phrenic nerve electrophysiological abnormalities in Guillain-Barre syndrome

被引:22
作者
Durand, MC
Prigent, H
Sivadon-Tardy, V
Orlikowski, D
Caudie, C
Devaux, C
Clair, B
Gaillard, JL
Lofaso, F
Raphael, JC
Sharshar, T
机构
[1] Raymond Poincare Teaching Hosp, Funct Testing Dept, Med Intens Care Unit, Garches, France
[2] Raymond Poincare Teaching Hosp, Dept Microbiol, Garches, France
[3] Neurol & Neurosurg Hosp, Immunol & Neuroimmunol Dept, Lyon, France
关键词
D O I
10.1212/01.wnl.0000184589.62101.b9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors investigated whether the amplitude and latency of diaphragm compound muscle action potential helped predict respiratory failure in Guillain-Barre syndrome. Both variables were significantly but weakly correlated with vital capacity ( VC) and were similar in unventilated (n = 60) and ventilated (n = 10) patients. In ventilated patients, motor loss severity, progression, and VC reduction were significantly greater, and bulbar dysfunction was more common. Predicting respiratory failure must rely on clinical features and VC.
引用
收藏
页码:1646 / 1649
页数:4
相关论文
共 10 条
[1]  
Asbury AK, 1990, ANN NEUROL S, V27, P21
[2]   Electrophysiology to predict mechanical ventilation in Guillain-Barre syndrome [J].
Durand, MC ;
Lofaso, F ;
Lefaucheur, JP ;
Chevret, S ;
Gajdos, P ;
Raphaël, JC ;
Sharshar, T .
EUROPEAN JOURNAL OF NEUROLOGY, 2003, 10 (01) :39-44
[3]   Electrophysiological classification of Guillain-Barre syndrome: Clinical associations and outcome [J].
Hadden, RDM ;
Cornblath, DR ;
Hughes, RAC ;
Zielasek, J ;
Hartung, HP ;
Toyka, KV ;
Swan, AV .
ANNALS OF NEUROLOGY, 1998, 44 (05) :780-788
[4]   The morbidity of Guillain-Barre syndrome admitted to the intensive care unit [J].
Henderson, RD ;
Lawn, ND ;
Fletcher, DD ;
McClelland, RL ;
Wijdicks, EFM .
NEUROLOGY, 2003, 60 (01) :17-21
[5]   Anti-GQ1b antibody as a factor predictive of mechanical ventilation in Guillain-Barre syndrome [J].
Kaida, K ;
Kusunoki, S ;
Kanzaki, M ;
Kamakura, K ;
Motoyoshi, K ;
Kanazawa, I .
NEUROLOGY, 2004, 62 (05) :821-824
[6]   Anticipating mechanical ventilation in Guillain-Barre syndrome [J].
Lawn, ND ;
Fletcher, DD ;
Henderson, RD ;
Wolter, TD ;
Wijdicks, EFM .
ARCHIVES OF NEUROLOGY, 2001, 58 (06) :893-898
[7]  
Lu ZN, 1998, CHINESE MED J-PEKING, V111, P496
[8]   Early predictors of mechanical ventilation in Guillain-Barre syndrome [J].
Sharshar, T ;
Chevret, S ;
Bourdain, F ;
Raphaël, JC .
CRITICAL CARE MEDICINE, 2003, 31 (01) :278-283
[9]   Respiratory management in acute neurologic illness [J].
Wijdicks, EFM ;
Borel, CO .
NEUROLOGY, 1998, 50 (01) :11-20
[10]   Respiratory electrophysiological studies in Guillain-Barre syndrome [J].
Zifko, U ;
Chen, R ;
Remtulla, H ;
Hahn, AF ;
Koopman, W ;
Bolton, CF .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1996, 60 (02) :191-194